Peoples Logic Services Pvt. Ltd.

- Application Form
I/We hereby request Peoples Logic Services Pvt. Ltd. to appoint me/us as marketing and sales support consultant to assist in marketing of Financial
products to your customers. Please find herewith below my/our details for the said purpose. Thank You
Personal Details

Individual Applicant
Title:

Mr.

Mrs.

D M M

Ms.

Latest
Passport Size
Colour Photo
Paste here

(Name you specify here MUST exactly match your PAN / Photo Identity Proof)

*Name:
First Name

*Date of Birth:

Middle Name

*Gender:

Last Name

Male

Do not Staple

Female

INDIVIDUAL ONLY

*PAN:

Non Individual Applicant / Firm

(Name you specify here MUST exactly match your PAN / Photo Identity Proof)

*Name:
*Tax Status:

Proprietorship

HUF

Partnership Firm

Private Ltd. Co.

Public Ltd. Co.

Trust

Society

Other

If other, please specify

Date of Incorporation:

*PAN:

D M M

D M M

Authorised Representative
*Name:
Designation:

*Date of Birth:

Contact Details
*Mobile:

Phone (Office)

Phone (R):

Fax:

*E-mail Id:
(Please provide a valid E-mail address as all communication will be sent to your E-mail address.)

*Correspondence Address:

City:

State:

Country:

Pin/Zip Code:

Bank Details
*Name of A/c Holder:
(As per Bank Records)

*Bank Name:
*Branch Name:

*City:

*Bank Account No.:

*IFSC Code:

*Branch Address:
*MICR Code:
*Account Type:

Savings

Current

Other

Declaration
I/We declare that all the above information provided by me/us in this application and documents submitted by me/us in support of this form , is true and
correct to the best of my/our knowledge and belief. I/ We have read and understood and hereby unconditionally agree to abide by the terms of
engagement as mentioned overleaf / as part of this application.

Note: Stamp is mandatory in case of Non Individual applicant.

Signature
Enclosures
1. PAN Copy
2. Address proof of the above correspondence address
2. Cancelled Original Cheque of above mentioned bank account

3. If name is not mentioned on cheque, photocopy of passbook or bank statement on which name of a/c holder is mentioned.
Note: if enclosures as required are not received, NEFT/DC facility would not be enabled.

For office use only:

Reference code:

*Location:
*Signature:

Peoples Logic Services Pvt. Ltd. - Application Form

Terms of Engagement
The Terms of Engagement for appointment of Marketing and Sales Support Consultant (Consultant) are as follows:
1. As Marketing and Sales Support Consultant shall assist the Company in the marketing of Financial products for the customers. The Consultant shall be
responsible to undertake the following tasks / works in furtherance of above;
i. Provide marketing advice and support.
ii. Give recruitment support for employees & advisors to Company.
iii. Provide the access to use Consultant's office infrastructure.
iv. Assist in distributing publicity material, point of purchase displays etc.
v. Organise customer awareness programmes.
vi. Provide timely market feedback to the Company.
vii. Provide such other services as may be mutually agreed.
2. This appointment as the Consultant shall be a non-transferable, non-exclusive, revocable to undertake the defined tasks.
3. Consultant shall provide the Company necessary MIS in such formats / mode as would be mutually agreed in respect of the above mentioned works.
4. In order to provide with relevant tools, reports for easy management of Consultant's responsibilities under these terms, Company may make
arrangements with service provider(s) in future, to provide such online information, tools to the Consultant. The Consultant would be thus eligible to
access information & tools related to own tasks/business with the Company on the online facilities as provided by such registered service
provider(s), if any, subject to their terms for the said service.
5. The Consultant would be paid such compensation / fees as agreed and communicated to him/her from time to time based upon the volume of
services rendered, actual space utilization per hour, number of phone calls made, number of customer awareness exercises undertaken and the
volume of publicity material distributed by Consultant. Apart from the agreed compensation, no other amounts would be payable.
6.

All payments made hereunder shall be subject to applicable TDS and other applicable statutory deductions.

7.

This engagement is not an arrangement of employment or agency or distributorship and the relationship between Company and Consultant shall
purely be only on a principal-to- principal basis. Consultant shall not have any rights to act or engage with any entity on behalf of the Company.

8. The Consultant shall maintain appropriate infrastructure & resources to undertake the tasks under this engagement.
9. The Consultant shall not give advice relating to any Life/General Insurance Policy to solicit business for the Company's customers. Any attempt shall be
at the sole risk and responsibility of the Consultant and the Company shall not be responsible for the same in any case whatsoever. In the event of any
attempt for soliciting life/General insurance business, this engagement shall get terminated with immediate effect.
10. Upon termination of this Engagement, The Consultant shall return all documents (including Company's marketing stationery) pertaining to the Company
forthwith.
11. The Consultant shall maintain strict confidentiality of any data, information or document or writing made available or provided to his/her by the
Company or pertaining to any entity that comes to Consultant's knowledge during this engagement with the Company or thereafter, unless such
information is available to public.
12. Either side can discontinue this engagement by 7 days prior written notice.
13. In case of any dispute, the same shall be referred to arbitration of a single arbitrator to be appointed by the Company. Subject to this, all disputes would
be subject to jurisdiction of courts in Surat.
Kindly sign here-in-below as a token of your unconditional acceptance of the above terms of engagement.
For & and on behalf of the Applicant.

Signature
Note: Stamp and Authorised Representative details are mandatory in case of Non Individual applicant.
Applicant Name:
Authorised Representative Name:
Designation:
Date

D M M

Place:

(Kindly send all the documents on Registered office address)

Registered Office: 9th floor, Office No.912 - B, Vishwakarma Arcade, Vishwakarma Mandir, Majura Gate, Ring Road, Surat - 395002, Gujarat